Functional brain network analysis using electroencephalography in late-onset Lennox–Gastaut syndrome

• Published in: Epilepsy research Vol. 203; p. 107370
• Main Authors: Wang, Zhi Ji, Park, Soyoung, Kim, Heung Dong, Kang, Hoon-Chul, Kim, Nam-Young, Hur, Yun Jung
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.07.2024
• Subjects: Cognitive outcome; Functional connectivity; Late-onset; Lennox–Gastaut syndrome; CC; Functional connectivity; RS; GPFA; EDF; EEG; FCD; ICA; MS; ADL; BEM; DQ; Late-onset; GSSW; MCI; Cognitive outcome; PD; Lennox–Gastaut syndrome; KD; LGS; VNS; ASM; CPL
• ISSN: 0920-1211; 1872-6844; 1872-6844
• DOI: 10.1016/j.eplepsyres.2024.107370

We aimed to explore the clinical characteristics and functional network properties of patients with late-onset Lennox–Gastaut syndrome (LGS). Late-onset LGS was defined by the appearance of LGS features after 8 years of age. We reviewed the medical charts of 9 patients with late-onset LGS, and performed electroencephalography connectivity analysis using graph theory. We assessed the clustering coefficient (CC) and characteristic path length (CPL), which are common basic measures of functional networks that represent local segregation and global integration. The characteristics and brain parameters of late-onset LGS were compared with a typical age-onset LGS group. Late onset LGS subjects were older than typical age onset LGS at the time of testing, but otherwise there were no significant differences in clinical characteristics. The late-onset group showed higher median CC values in the alpha (p = 0.045) and beta (p < 0.001) bands over brain regions implicated in cognitive processing. There were no significant differences in CPL between the LGS groups. Higher clustering coefficient values, in alpha/beta bands over brain regions implicated in cognitive processing, are consistent with increased cognitive network segregation in late onset LGS compared to typical age-onset LGS. Given network segregation is a normal aspect of brain maturation, these results imply that this process is less disturbed when the LGS process begins later in childhood. ●We explored clinical characteristics and functional network properties of late-onset LGS.●Late-onset LGS showed different functional network from that in typical age-onset LGS.●Clustering coefficient of the cognitive components were higher in late-onset LGS.